| NPI | 1861549313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2842-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4425) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-09-06 |