| NPI | 1134566797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-11-22 |