| NPI | 1952477143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7426) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7426) |
| 103TF0200X Psychologist, Forensic (Licence: VA 0810007012) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY7426) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-02-26 |