| NPI | 1255603593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000893) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05020) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2015-05-27 |