| NPI | 1568844835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004088) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1939) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2025-01-04 |