| NPI | 1891807376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000699) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001785) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1628) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-13 |