| NPI | 1467961243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PSY9960) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PSY9960) |
| 103TH0004X Psychologist, Health (Licence: FL PSY9960) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |