| NPI | 1417094301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2211-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2211-057) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-09-30 |