| NPI | 1609063544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7571) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL py 7571) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-12-07 |