| NPI | 1356300156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PYR0239) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 902) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |