| NPI | 1275766966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 3830) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3737) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2018-05-07 |