| NPI | 1457601155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3732) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS0017749) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2025-03-05 |