| NPI | 1396798351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10403) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20041364A) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY10403) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY10403) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-05-07 |