| NPI | 1487832440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4619) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7093) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2021-08-04 |