| NPI | 1144416801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN poooooo2728) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810002724) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |