| NPI | 1255642658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0590) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016693) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-09-20 |