| NPI | 1790749588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6603) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6603) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-08-03 |