| NPI | 1982794384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 659) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO R0213) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2008-11-05 |