| NPI | 1548356363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7990) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 989) |
| 103TC0700X Psychologist, Clinical (Licence: NM PSY-2023-0082) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-11-07 |