| NPI | 1568730562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3992) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004427) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |