| NPI | 1275815383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 3231) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: PR 3231) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |