| NPI | 1467432054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 01-20EI) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 0120E) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-06-11 |