| NPI | 1043461684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7783) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7783) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2021-06-11 |