| NPI | 1922311877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9821) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9821) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-11-23 |