| NPI | 1972570455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005793) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0803000229) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-01-17 |