| NPI | 1437483567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3528) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: NC 3528) |
| 103TS0200X Psychologist School (Licence: NC 3528) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |