| NPI | 1669904876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: NV PY0777) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NV PY0777) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-08-31 |