| NPI | 1295936003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6844) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY6844) |
| 103TF0200X Psychologist, Forensic (Licence: FL PY6844) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY6844) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |