| NPI | 1306279096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 004711) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: PR 004711) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-05-18 |