| NPI | 1962641852 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12830)  | 
| Additional Taxonomies | 374J00000X Doula | 
| 103TC0700X Psychologist, Clinical (Licence: PR 3327)  | |
| Enumeration Date | 2009-02-17 | 
| Last Update Date | 2025-09-18 |