| NPI | 1770720724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 8970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3365) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |