| NPI | 1871667998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 771) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 771) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-05-12 |