| NPI | 1740670967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3696) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 3696) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-03-17 |