| NPI | 1770824484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 918) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SD 546) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2018-03-12 |