| NPI | 1326379660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11731) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3538) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2022-12-09 |