| NPI | 1669670378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5679) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.007312) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-09-26 |