| NPI | 1881951861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004559) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004559) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2016-10-17 |