| NPI | 1992285415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8201) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003689) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2023-12-07 |