| NPI | 1548356082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 001319) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CT 001319) |
| 103TC0700X Psychologist, Clinical (Licence: CT 001319) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 001319) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-11 |