| NPI | 1053555060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1224) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8051) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2013-10-28 |