| NPI | 1497437305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2563) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2563) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-04 |