| NPI | 1164882353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4883) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 2819) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |