| NPI | 1639397169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5379) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040657A) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2022-12-10 |