| NPI | 1114385408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY-1614) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004378) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-03-17 |