| NPI | 1417199647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5945) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: FL PY5945) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY5945) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |