| NPI | 1821350927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4298) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1255) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-01-10 |