| NPI | 1952405565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03870) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810003031) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |