| NPI | 1861577637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 224) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO COU000579) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |