| NPI | 1487780292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO R0440) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 702) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-02-07 |