| NPI | 1235274002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 971) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: AL 971) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-07-07 |