| NPI | 1417323858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 100100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3609-57) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-07-29 |