| NPI | 1548353931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0980) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2122-0057) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2008-04-18 |