| NPI | 1952409179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6785) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6785) |
| 103TH0100X Psychologist, Health Service (Licence: FL PY6785) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-26 |