| NPI | 1932243334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA PSY004370) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MO PL0364) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2024-01-25 |