| NPI | 1386785590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 933) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 6712) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-12-23 |