| NPI | 1346519287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15296) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY12238) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2024-04-28 |