| NPI | 1053462689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1373) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CO 1373) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-02-13 |