| NPI | 1417085689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR PSY-95-14) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 95-14P) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-09-22 |