| NPI | 1124006176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6166) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS001554) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2016-09-01 |