| NPI | 1750907192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12734) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6236) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2025-10-23 |