| NPI | 1689833758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI 1476) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MT 387) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2016-04-21 |