| NPI | 1780898197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3061) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NC 3061) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-11-13 |