| NPI | 1841243367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py7731) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 1276) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-27 |