| NPI | 1598722738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2395-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2395 - 057) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-01-19 |