| NPI | 1942546767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1249) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NM 1249) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-04-02 |