| NPI | 1346393329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5323) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: FL PY5323) |
| 103TC0700X Psychologist Clinical (Licence: FL PY5323) | |
| 103TH0100X Psychologist Health Service (Licence: FL PY5323) | |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-09-28 |