| NPI | 1023516150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10160) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10160) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-04-19 |