| NPI | 1174775290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004207) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 09-19P) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2010-09-20 |