| NPI | 1073733127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 11264) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 2589) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2014-02-19 |