| NPI | 1093357170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11204) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0001200) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-11-21 |