| NPI | 1033216775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2033-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2033-057) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-01-19 |