| NPI | 1679758429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3737) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 7636) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021513) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 4268) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004038) | |
| 103TC0700X Psychologist, Clinical (Licence: AR 20-06) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2024-01-19 |