| NPI | 1952633851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9486) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3479) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2016-02-15 |