| NPI | 1699940312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1443) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2016042036) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-12-05 |