| NPI | 1093130627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8876) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38730) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-02-10 |