| NPI | 1154628444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1946) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2010039562) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-09-01 |