| NPI | 1750726097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12023) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1227) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-01-12 |