| NPI | 1508908195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7790) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19288) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-09-11 |