| NPI | 1932146107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 960) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2984) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-09-24 |