| NPI | 1588813349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7795) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: FL PY 7795) |
| 103TH0004X Psychologist Health (Licence: FL PY 7795) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-01-24 |