| NPI | 1992785570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6186) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IA 01014) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-02-22 |