| NPI | 1538313762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 391) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT 391) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-04-12 |