| NPI | 1538326467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY-1126) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA PSY003165) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-03-02 |