| NPI | 1588899660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY7909) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7909) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 7909) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-09-14 |