| NPI | 1306877345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL Py5717) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL py5717) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY5717) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-27 |