| NPI | 1821119876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC NC5167) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042274A) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-04-20 |