| NPI | 1982764874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11919) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 18404) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-10-27 |