| NPI | 1972587921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: NC 2614) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2614) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2017-05-04 |