| NPI | 1326463001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 53 936) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MS 258015) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |