| NPI | 1780882795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003491) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: VA 0810003491) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-05-04 |