| NPI | 1356369961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9009) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS015442) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-08-07 |