| NPI | 1932724044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PY10258) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10258) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |