| NPI | 1285966226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3066) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 0996) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |