| NPI | 1760620595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY 6743) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL PY 6743) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |