| NPI | 1588641666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY-9710) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3689) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-11-14 |