| NPI | 1326413915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 9420) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY 9420) |
| 103T00000X Psychologist (Licence: FL PY 9420) | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-03-05 |