| NPI | 1730236803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL Py 4156) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL Py 4156) |
| 103TF0000X Psychologist, Family (Licence: FL PY 4156) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-10-04 |