| NPI | 1659346146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7289) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: FL PY 7289) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-07-18 |