| NPI | 1558146373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008274) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07033) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |