| NPI | 1093852816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 15) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 3330) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-01-21 |