| NPI | 1548326457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 257) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 1486) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-05-10 |