| NPI | 1881986842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4235) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8244) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-01-20 |