| NPI | 1427256650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 373) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WV 373) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |