| NPI | 1588976971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4386) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1829) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-01-23 |