| NPI | 1659691293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2011-01-04 |