| NPI | 1467113571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 7058) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA 7058) |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |