| NPI | 1093924078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6537) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY 3074) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |