| NPI | 1245401504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7353) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7353) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 7353) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY 7353) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2018-07-13 |