| NPI | 1346557121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2013043233) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042661A) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2020-03-12 |