| NPI | 1841500394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4999) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 907) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2020-05-07 |