| NPI | 1659824308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 3980) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 9599) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2024-10-18 |