| NPI | 1255610994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9244) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000735) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9244) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2018-08-22 |