| NPI | 1528207396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 3244) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 3244) |
| 103TC0700X Psychologist, Clinical (Licence: PR 3244) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-11-02 |