| NPI | 1497909121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8748) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8748) |
| 103TC1900X Psychologist, Counseling (Licence: TN 2890) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2021-02-08 |