| NPI | 1679053441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY7275) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY7275) |
| 103TF0000X Psychologist Family (Licence: FL PY7275) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-21 |