| NPI | 1497908859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3423) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1646) |
| 103TC0700X Psychologist, Clinical (Licence: CO 3589) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2019-05-12 |