| NPI | 1417047770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2255) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 117425-2501) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2007-07-08 |