| NPI | 1275837924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9255) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 9255) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-12-07 |