| NPI | 1871643023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY1085) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042088A) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-05-25 |