| NPI | 1366479669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 16-21P) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ND 261) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-05-04 |