| NPI | 1255476438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 588) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 248846) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-09-21 |