| NPI | 1033189550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B10000554) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 05866) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2017-01-26 |