| NPI | 1316612641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12145) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6323) |
| 103TC0700X Psychologist, Clinical (Licence: NC 6323) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-08-16 |