| NPI | 1871311514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 8436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 13418) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-09-28 |