| NPI | 1174681985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MA 2210) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2210) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-04-24 |