| NPI | 1376909739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4570) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 3869529) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |