| NPI | 1093774960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2005024717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2351) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |