| NPI | 1558427138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 0005000) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-09 |