| NPI | 1306983424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6080) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6080) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6080) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY6080) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-06-11 |