| NPI | 1588813232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN 25533) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |