| NPI | 1508017096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10263) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3127) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2024-01-19 |