| NPI | 1245581628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004565) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 396) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |