| NPI | 1447520374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2981-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8972) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2014-07-03 |