| NPI | 1568588408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY004733) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 4733) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-02-17 |