| NPI | 1922211598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4368) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY0004368) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-09-21 |