| NPI | 1407907116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1103) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P2637) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-03-17 |