| NPI | 1689830374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1176) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1176) |
| 103T00000X Psychologist (Licence: FL 11770) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-08-08 |