| NPI | 1760721856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60278819) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: HI PSY-2167) |
| 103TC0700X Psychologist Clinical (Licence: UT 9374624-2501) | |
| 103TC0700X Psychologist Clinical (Licence: VA 0810005824) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2024-05-10 |