| NPI | 1891273561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA 002275) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |