| NPI | 1578570909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5093) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY5093) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY5093) | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY5093) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-12-02 |