| NPI | 1588917116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10582) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PPY267) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2019-10-28 |