| NPI | 1023059698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 3423) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MD 3423) |
| 103T00000X Psychologist (Licence: MD 3423) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-04-06 |