| NPI | 1043278559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 2558) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY2558) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-12 |