| NPI | 1508031659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 1244) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 1244) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-10-13 |