| NPI | 1861362931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810008865) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY200001710) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |