| 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 |