| NPI | 1669940458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810006424) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY13192) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2026-06-02 |