| NPI | 1528031119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9377) |
| Additional Taxonomies | 103T00000X Psychologist |
| 174400000X Specialist (Licence: PA PS006135L) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-11-16 |