| NPI | 1558885632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI 1669) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1669) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |