| NPI | 1124220389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3190) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P0000002916) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-09-11 |