| NPI | 1285658385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 3268) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY 000884) |
| 103TC0700X Psychologist, Clinical (Licence: NC HSP-P 0773) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |