| NPI | 1649844663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1634) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 004301) |
| 103TC0700X Psychologist, Clinical (Licence: CT 004301) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-01-24 |