| NPI | 1316272677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 7141) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: FL 7141) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2012-04-17 |