| NPI | 1134348907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DE B1-0000861) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY 18059) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-10-18 |