| NPI | 1407068430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 396) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NM 112126) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-09 |