| NPI | 1972781516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2003023911) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS LP1083) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-06-13 |