| NPI | 1073579637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3041) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 4845018-2501) |
| 103T00000X Psychologist (Licence: NV P40413) | |
| 103T00000X Psychologist (Licence: FL 6176) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2018-11-20 |