| NPI | 1326107426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN764412) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-11-18 |