| NPI | 1790737195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04380) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006549L) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-08 |