| NPI | 1508039959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8371) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071004760) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2012-03-12 |