| NPI | 1942219589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1943-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MS 35573-057) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-02-13 |