| NPI | 1447295043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2013010695) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 05-14P) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2013-05-28 |