| NPI | 1043638224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4510) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1274) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-04-10 |