| NPI | 1831468529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8974) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20042485A) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY 25233) | |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2017-01-25 |