| NPI | 1407371834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12488) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2025-02-07 |