| NPI | 1538407697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P0000002588) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6553) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |