| NPI | 1750790382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000974) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS009288L) |
| 103TC0700X Psychologist, Clinical (Licence: DE B1-0000974) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2025-09-26 |