| NPI | 1346331832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4390) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA MA8579) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-05-16 |