| NPI | 1669758082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11184) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2021-09-28 |