| NPI | 1932495546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12118) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 4624) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2025-03-28 |