| NPI | 1477635969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-203849) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2947) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-09-03 |