| NPI | 1316256175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04583) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3640) |
| 103TC1900X Psychologist, Counseling (Licence: MD 04583) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |