| NPI | 1942326863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12101) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 2251) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-01-10 |