| NPI | 1164550216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7354) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI 568) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-09-07 |