| NPI | 1225269228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 00003799) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018047-1) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |