| NPI | 1669595245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05309) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1680) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-03-29 |