| NPI | 1497998850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3754) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 102830) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-07-28 |