| NPI | 1841452034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005044) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12128) |
| 103TC0700X Psychologist, Clinical (Licence: NY 016821) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY22852) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-10-15 |