| NPI | 1386065944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3311) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN 5670) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2015-09-21 |