| NPI | 1457675902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8038) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL 8038) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2020-04-20 |