| NPI | 1013355049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3025-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6656) |
| 103T00000X Psychologist (Licence: FL PY7959) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |