| NPI | 1801038708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04495) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000806) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2024-04-10 |