| NPI | 1982056693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 10393) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-04-11 |