| NPI | 1508109588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py12501) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL py12501) |
| 103T00000X Psychologist (Licence: FL 22107) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2026-08-26 |