| NPI | 1417140427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI 00780) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7402) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2009-10-01 |