| NPI | 1174510911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 948) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC 818) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |