| NPI | 1306820394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9551) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040733A) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2017-10-05 |