| NPI | 1891004578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY851) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 01031) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-03-15 |