| NPI | 1508923772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12604) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY-883) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-03-21 |