| NPI | 1891353736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MT PSY-PSY-LIC-5075) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS018579) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-08-11 |