| NPI | 1891824983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007028984) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 06-29P) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-03-13 |