| NPI | 1477535672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MO 2001014379) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY-06506) |
| 103TC0700X Psychologist, Clinical (Licence: MO 2001014379) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MO 2001014379) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-04-28 |