| NPI | 1043390818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IA 001080) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 322774) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-08-09 |