| NPI | 1508880220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 1751) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 9325p) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |