| NPI | 1740304286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005874) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1168) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-10-30 |