| NPI | 1073734919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 07-13P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 07-13P) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AR 07-13P) | |
| 103TH0004X Psychologist, Health (Licence: AR 07-13P) | |
| 103TH0100X Psychologist, Health Service (Licence: AR 07-13P) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-08-15 |