| NPI | 1902237951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9308) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017502) |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2018-04-28 |