| NPI | 1154384923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY 01441) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MO PY 01441) |
| 103TR0400X Psychologist, Rehabilitation (Licence: MO PY 01441) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-10 |