| NPI | 1558536078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8784) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |