| NPI | 1437308277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 005045) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2022-07-21 |