| NPI | 1821707381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY11246) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: FL PY11246) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-11-27 |