| NPI | 1740314228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202329) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: ID PSY-202329) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-04-09 |