| NPI | 1922890995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6202) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL 828828) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |