| NPI | 1437867819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005567) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-03-12 |