| NPI | 1104064880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2913-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007598) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2012-10-03 |