| NPI | 1710248406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC 1000695) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004334) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |