| NPI | 1700168325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10064) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005156) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2023-04-24 |