| NPI | 1982735304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1371) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 01371) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-02-11 |