| NPI | 1477742351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 4586) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |