| NPI | 1407912363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4483) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4483) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY4483) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY4483) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-06-16 |