| NPI | 1699788083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3669) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 7169) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-09-12 |