| NPI | 1376952630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0770) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2468) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2016-03-10 |