| NPI | 1548407919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL Py 7781) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY7781) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY7781) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY7781) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2022-01-06 |