| NPI | 1689767964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3288) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 001480) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2023-03-13 |