| NPI | 1477099109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0135232) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: FL PY11570) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2026-02-12 |