| NPI | 1114087947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1078) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 469) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-12-12 |