| NPI | 1831119346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7583) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7583) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-09-07 |