| NPI | 1831301159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OH 3741) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |