| NPI | 1528352408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0005858) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P0000003379) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-09-09 |