| NPI | 1891759247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7041) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7041) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY7041) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY7041) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY7041) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY7041) | |
| 103TS0200X Psychologist, School (Licence: FL SS412) | |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY7041) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-05-19 |