| NPI | 1275741985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7033) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3209) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-02-02 |