| NPI | 1043346802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: HI 662) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MA 7206) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-04-29 |