| NPI | 1861669442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 3404) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 3404) |
| 103TF0000X Psychologist, Family (Licence: MD 3404) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |