| NPI | 1578733101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 09-13P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 07-05AE-PL) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-09-28 |