| NPI | 1922458686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9335) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 003326) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |