| NPI | 1467185058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3830) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1197) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |