| NPI | 1881920031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7888) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY 7888) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-08-05 |