| NPI | 1841718954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2072) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 095686) |
| 103TC0700X Psychologist, Clinical (Licence: MS 591039) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-05-02 |