| NPI | 1306234380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1371) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1900) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-10-19 |