| NPI | 1366535577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P381) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 7615P) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |