| NPI | 1194052704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 10832) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4964) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2020-08-24 |