| NPI | 1477538288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4436) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0332) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-05-13 |