| NPI | 1245433440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7314) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY002526) |
| 103T00000X Psychologist (Licence: UT 112930-2501) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |