| NPI | 1689946436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2016032365) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-03-21 |