| NPI | 1376651414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2467) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CO 2467) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-09-28 |