| NPI | 1538683198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8698) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 2387) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |