| NPI | 1427190586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY ky-1449) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy 16716) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |