| NPI | 1144362666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000144) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS002849L) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |