| NPI | 1871925206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 001344) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IA 078200) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-09-02 |