| NPI | 1780720938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9860) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI 505) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-03-17 |