| NPI | 1538250493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8098) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: FL PY8098) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-11-09 |