| NPI | 1316102114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7715) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh 6095) |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 7715) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-01-20 |