| NPI | 1497157382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 005890) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 5890) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-02-19 |