| NPI | 1508260043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001041) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: DE 72703) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-11-08 |