| NPI | 1932223393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1862) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC 1829) |
| 103TC0700X Psychologist, Clinical (Licence: VA 1854) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |