| NPI | 1265662209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NV PY0598) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: HI PSY1166) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2011-07-26 |