| NPI | 1427117191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 47-0000461) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 470000461) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-12-17 |