| NPI | 1386956258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY#4037) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4037) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-03-08 |