| NPI | 1306066832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY0003146) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810000724) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-11-06 |