| NPI | 1023073996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04268) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810003443) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |