| NPI | 1467404509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 810001893) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001893) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-10-19 |