| NPI | 1710507314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 5009) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA PSY003512) |
| 103TC1900X Psychologist, Counseling (Licence: NC 5009) | |
| 103TH0100X Psychologist, Health Service (Licence: GA PSY003512) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-03-14 |