| NPI | 1982748190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7421) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71007208) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-02-04 |