| NPI | 1326121781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60996005) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20041965A) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2019-10-21 |