| NPI | 1639697311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1441) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1441) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2021-04-23 |