| NPI | 1780633578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9153) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016505) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 24209) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-04-27 |