| NPI | 1588108344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3305) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1456) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2023-09-14 |