| NPI | 1255773586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10197) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4611) |
| 103T00000X Psychologist (Licence: FL PY10197) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-01-26 |