| NPI | 1811040686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY7004) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7004) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-10-26 |