| NPI | 1588895965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY1051) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 15-08P) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2022-11-14 |