| NPI | 1477215531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 89688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 89688) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |