| NPI | 1770294217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PSY11946) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019772) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-02-08 |