| NPI | 1255649398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 170100000X Medical Genetics, Ph.D. Medical Genetics | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |