| NPI | 1740214865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO PY01033) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 944) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-05-05 |