| NPI | 1285773242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 01269) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 01269) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |