| NPI | 1427532324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6079) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005925) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-08-19 |