| NPI | 1427145457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003249) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 8617) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-08-09 |