| NPI | 1174969638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1104) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 202529) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |