| NPI | 1013122530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6313) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY6313) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY6313) | |
| 103TF0000X Psychologist Family (Licence: FL PY6313) | |
| 103TF0200X Psychologist Forensic (Licence: FL PY6313) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-07-10 |