| NPI | 1568483808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL py7218) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7218) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-09-07 |