| NPI | 1114938255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3118) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003496) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-04-03 |