| NPI | 1962739615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3267) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 3267) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2024-01-25 |