| NPI | 1548497100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 18-04P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10836) |
| 103TC0700X Psychologist, Clinical (Licence: MO 2016032381) | |
| 103TC0700X Psychologist, Clinical (Licence: KS 1923) | |
| 103TC0700X Psychologist, Clinical (Licence: KS T-LP 1800) | |
| 103TC0700X Psychologist, Clinical (Licence: AR 18-04P) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-02-15 |