| NPI | 1558666578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9056) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9056) |
| 103T00000X Psychologist (Licence: IL 071.008005) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY9056) | |
| 103TC0700X Psychologist Clinical (Licence: IL 071008005) | |
| 103TF0200X Psychologist Forensic (Licence: FL PY9056) | |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2023-12-05 |