| NPI | 1760521397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8031) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2414) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-11-24 |