| NPI | 1750872495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: NH 1505) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 10852) |
| 103TC0700X Psychologist, Clinical (Licence: MA 10756) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-05-01 |