| NPI | 1679588248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 567) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 590) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-10 |