| NPI | 1730479916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10806) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007907) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2020-09-08 |