| NPI | 1912273053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3878) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 3878) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2025-01-31 |