| NPI | 1588913735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8586) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY8586) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8586) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2025-02-03 |