| NPI | 1487478186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07350) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008719) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-01-23 |