| NPI | 1710166897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003870) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04466) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |