| NPI | 1417151895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7492) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: FL PY7492) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-02-01 |