| NPI | 1568686541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1197) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY002054) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 5523) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-07-21 |