| NPI | 1558148452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY-2113) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006155) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-12-16 |