| NPI | 1720291495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7214) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2026-03-19 |