| NPI | 1407051360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3763) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY3763) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY3763) | |
| 103TF0000X Psychologist, Family (Licence: FL PY3763) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY3763) | |
| 103TS0200X Psychologist, School (Licence: FL SS321) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-07-19 |