| NPI | 1083856637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8187) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8187) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2020-07-29 |