| NPI | 1427230820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3456) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6958) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-06-26 |