| NPI | 1093138232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8677) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2019-09-11 |