| NPI | 1306032941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015910) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042154A) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2018-11-02 |