| NPI | 1811649452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2019029812) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL 8565) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |