| NPI | 1104952860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 59834) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4767) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-03-28 |