| NPI | 1659297414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY13204) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL PY13204) |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-06-26 |