| NPI | 1447793542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10507) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5220) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2025-07-01 |