| NPI | 1144398967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 08-18P) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO 2006035359) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-09-23 |