| NPI | 1417050295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA MA6303) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 6303) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-04-30 |