| NPI | 1487822839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 2231) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NC 2231) |
| 103TC0700X Psychologist Clinical (Licence: FL PY10763) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-09-24 |