| NPI | 1447681580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40659) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB 37813) |
| 103TC0700X Psychologist, Clinical (Licence: OH P.07927) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2025-06-25 |