| NPI | 1003933946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO PY01532) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MO PY01532) |
| 103TF0000X Psychologist Family (Licence: MO PY01532) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MO PY01532) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-07-08 |