| NPI | 1538138367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9173) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY002794) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-06-11 |