| NPI | 1851468649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3646) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 769) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |