| NPI | 1063641728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 19-14P) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AR 19-14P) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-11-20 |