| NPI | 1639940711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3606) |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |