| NPI | 1720361868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: IA 001340) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 001340) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2025-10-26 |