| NPI | 1518280981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY8548) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY8548) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2018-09-23 |