| NPI | 1811998347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000190) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS-0042726) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-08-31 |