| NPI | 1457106650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 03387) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026396) |
| 103T00000X Psychologist (Licence: MO 2025009595) | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-02-02 |