| NPI | 1245462456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2016042024) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2418) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2016-12-09 |