| NPI | 1669478434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 94-6P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 11996) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |