| NPI | 1164554804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS008607L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE BI0000376) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |