| NPI | 1568694172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1081) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 1780) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |