| NPI | 1720302748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5929) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003260) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-08-07 |