| NPI | 1235390352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7111) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PY7111) |
| 103TH0004X Psychologist Health (Licence: PY7111) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-06-03 |