| NPI | 1306170410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3508) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY PSYLIP00211375) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-02-15 |