| NPI | 1851572762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3066) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY5749) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2021-11-19 |