| NPI | 1548430960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40267) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2024-10-25 |