| NPI | 1457545402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3451) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 1277) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2017-03-13 |