| NPI | 1831376011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2715-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2715-57) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-07-21 |