| NPI | 1447530548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8766) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3486) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2018-09-11 |