| NPI | 1578670857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1036) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OK 1036) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-07-22 |