| NPI | 1508035353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1733) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 1999140464) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2025-01-31 |