| NPI | 1619171162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5714) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 1376) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-12-04 |