| NPI | 1861473449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P000002647) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 26356) |
| 103TC0700X Psychologist, Clinical (Licence: MD 02369) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS004731L) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-06-26 |