| NPI | 1528844768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6086) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02180) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-08-14 |