| NPI | 1538409156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 8563) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC py8563) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-03-15 |