| NPI | 1437193752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 1427) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 04270) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-02-14 |