| NPI | 1598105736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9725) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9725) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2018-04-17 |