| NPI | 1013245588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2930) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2020-04-20 |