| NPI | 1285886663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7075) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: FL PY7075) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: FL PY7075) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2017-04-07 |