| NPI | 1639239544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WI 3331-57) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IN 20040919A) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-05-04 |