| NPI | 1619689189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 08100009181) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2025-12-21 |