| NPI | 1598933764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003827) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 081003827) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2022-02-15 |