| NPI | 1518986678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2006016159) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3808) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-10-21 |