| NPI | 1477791796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007736) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04569) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2023-07-07 |