| NPI | 1871637132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 07-19P) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OK 894) |
| 103TC0700X Psychologist Clinical (Licence: TX 32121) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2018-12-12 |