| NPI | 1891148953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY13097) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 40117) |
| 103TC0700X Psychologist, Clinical (Licence: CA 32479) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2026-08-26 |