| NPI | 1902105067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0566) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 1203) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |