| NPI | 1801116512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04647) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1493) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2016-12-29 |