| NPI | 1316250889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: FL PY9304) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33972) |
| 103TC0700X Psychologist, Clinical (Licence: FL 9304) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2019-04-21 |