| NPI | 1366565210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10098) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040996) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2024-03-15 |