| NPI | 1700119435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 4240) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 383) |
| 103T00000X Psychologist (Licence: NC 4204) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2016-09-12 |