| NPI | 1306062336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 253) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 901) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |