| NPI | 1073633194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 2922) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 2922) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |