| NPI | 1497176093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 20-07P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS008859L) |
| 103TC0700X Psychologist, Clinical (Licence: TN 3206) | |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2020-06-11 |