| NPI | 1063768927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002983) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 0000002983) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2018-03-17 |