| NPI | 1154579902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 09-16P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 07-7E) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-01-08 |