| NPI | 1841674322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007686) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37088) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-12-29 |