| NPI | 1700497583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11527) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: FL PY11527) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2025-02-28 |