| NPI | 1174924591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11427) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36708) |
| 103T00000X Psychologist (Licence: IN 20043131A) | |
| 103TS0200X Psychologist, School (Licence: FL SS1491) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2022-05-28 |