| NPI | 1790082501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9045) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL PY 9045) |
| 103TH0004X Psychologist, Health (Licence: FL PY 9045) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 9045) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2014-09-17 |