| NPI | 1003113523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1241) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040794A) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |