| NPI | 1740813500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC PP5378) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014934-1) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10042) | |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY1720) | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY0005065) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |