| NPI | 1235316811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-01-26 |