| NPI | 1811330608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12492) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.00857) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2025-08-04 |