| NPI | 1407185788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0077088) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048-0077088) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2013-01-07 |