| NPI | 1467795278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL SS-1507) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-05-14 |