| NPI | 1699015669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4420) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8391) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |