| NPI | 1871207969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011258) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019221) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |