| NPI | 1508193350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11425) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016658) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2022-05-25 |