| NPI | 1346355039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2892332) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-08-04 |