| NPI | 1134407141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8306) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8306) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2020-01-28 |