| NPI | 1386801082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 04289) |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |