| NPI | 1811031123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY8513) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL PY8513) |
| 106H00000X Marriage & Family Therapist (Licence: FL PY8513) | |
| 103TF0000X Psychologist, Family (Licence: FL PY8513) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8513) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY8513) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8513) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY8513) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2012-04-19 |