| NPI | 1134428170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10331) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3945) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2023-11-20 |