| NPI | 1457463846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 01936) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 01936) |
| 103T00000X Psychologist (Licence: MD 01936) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |