| NPI | 1295839678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL MH8892) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL IMH402) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2009-07-22 |