| NPI | 1437502051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12262) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2016016750) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-12-11 |