| NPI | 1669601977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04391) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003436) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |