| NPI | 1922318393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WI 2893-57) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: WI 2893-57) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WI 2893-57) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |