| NPI | 1487483384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |