| NPI | 1912388497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: DE B10001023) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DE B1-0001023) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-09-27 |