| NPI | 1831102326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B10000424) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007909L) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-11-02 |