| NPI | 1487873717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY0002246) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY0002246) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: FL PY0002246) | |
| 103TF0200X Psychologist Forensic (Licence: FL PY0002246) | |
| 103TH0100X Psychologist Health Service (Licence: FL PY0002246) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-02-07 |