| NPI | 1194043547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 8091) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL py8091) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2020-07-02 |