| NPI | 1740900208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06670) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007294) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |