| NPI | 1942607205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4437) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AZ 4437) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |