| NPI | 1134454051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 6295) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: FL PY6295) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-07-20 |