| NPI | 1508934928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7384) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY 7384) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY 7384) | |
| 103TF0000X Psychologist Family (Licence: FL PY 7384) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-05-06 |