| NPI | 1366682502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06932) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2025-10-09 |