| NPI | 1194814269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2035-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2035) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-08-04 |