| NPI | 1356537609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6787) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 4822) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-10-17 |