| NPI | 1174640700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 727) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 04-1P) |
| 103TC0700X Psychologist, Clinical (Licence: AK 533) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |