| NPI | 1689966988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12015) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3902) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2026-03-25 |