| NPI | 1447311055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 9307447-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY1139) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-09-30 |