| NPI | 1942439955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 7546) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7546) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2023-04-03 |