| NPI | 1720155328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2215-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2215-057) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-12-08 |