| NPI | 1477196392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6149) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06269) |
| 103T00000X Psychologist (Licence: DE B1-0011253) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-08-20 |