| NPI | 1114976941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO PY01161) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MO PY01161) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |