| NPI | 1205958089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 1549) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: TN 1549) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |