| NPI | 1437344116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY2320) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |