| NPI | 1770038358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 4319) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PR 4319) |
| 103T00000X Psychologist (Licence: PR 4319) | |
| 103TC1900X Psychologist Counseling (Licence: PR 4319) | |
| 103TS0200X Psychologist School (Licence: PR 4319) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-02-28 |