| NPI | 1801861869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001279) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 543) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-04-18 |