| NPI | 1316265135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4283) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4283) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2017-02-13 |