| NPI | 1073862827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 1867) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 46751) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |