| NPI | 1497320345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11671) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 11671) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-10-12 |