| NPI | 1952808040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1668) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: LA 654232) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-11-02 |