| NPI | 1578228292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL Py9891) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: FL PY9891) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-10-23 |