| NPI | 1457702052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3585) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20043279) |
| 103T00000X Psychologist (Licence: CA 31535) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-11-15 |