| NPI | 1578870283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3982) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3982) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2025-10-07 |