| NPI | 1457897118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9714) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9714) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2024-03-08 |