| NPI | 1043271232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 442) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV 22037) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-01-19 |