| NPI | 1619289204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1232) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016821) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2011-09-07 |