| NPI | 1972086460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5408) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1683) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-07-15 |