| NPI | 1669693685 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1051)  | 
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DC PSY1051)  | 
| 103TP0814X Psychologist, Psychoanalysis (Licence: DC PSY1051)  | |
| Enumeration Date | 2007-05-01 | 
| Last Update Date | 2025-09-11 |