| NPI | 1891325361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 1244) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 1244) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-09-26 |