| NPI | 1952531592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6933) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY6933) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY6933) | |
| 103TS0200X Psychologist School (Licence: FL PY6933) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |