| NPI | 1952133910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40615) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004804) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-03-25 |