| NPI | 1013088681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10124) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 1647) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2026-07-06 |