| NPI | 1487768248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL py 7675) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA py003739) |
| 103T00000X Psychologist (Licence: TX 36593) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-07-18 |