| NPI | 1871875815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI 1657) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5176) |
| 103TC0700X Psychologist, Clinical (Licence: AL 1706) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2022-07-21 |