| NPI | 1063507697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 06-01-AR-PL) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA LA003275926) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |