| NPI | 1528160330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1546) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002477) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-03-24 |