| NPI | 1578916177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 933) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 501) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2018-02-15 |