| NPI | 1255885810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3034) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3394) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2019-01-22 |