| NPI | 1922369784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001201) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05122) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-06-12 |