| NPI | 1023087350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 33519) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P1847) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-12-01 |