| NPI | 1336274968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4068) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-01-26 |