| NPI | 1366735615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: PR 3932) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3932) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |