| NPI | 1003086513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-202403) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AK AA-283) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2017-11-24 |