| NPI | 1982781779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3253) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 7349) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-02-03 |