| NPI | 1790893949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 9932) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2529) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-07-21 |