| NPI | 1275677460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3743) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ Educator ID 1540073) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-09 |