| NPI | 1326478603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0803000244) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL 6516) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004858) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |