| NPI | 1134269202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ AZ3578) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3578) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-01-18 |