| NPI | 1013955780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 660) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: OK 660) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |