| NPI | 1013191113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06558) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8441) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2021-12-16 |