| NPI | 1740420405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10546) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3239) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2024-03-12 |