| NPI | 1396887154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2005028847) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO PYT0063) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-05-14 |