| NPI | 1245221332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 0005220) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 0005220) |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY 0005220) | |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2026-04-08 |