| NPI | 1588497838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6547) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC PA6547) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-12-20 |