| NPI | 1609528710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11253) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11253) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-11-12 |