| NPI | 1497131544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9729) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD B1-0011401) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-07-11 |