| NPI | 1679723241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1545) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1545) |
| 103TH0100X Psychologist, Health Service (Licence: TN 2829) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2010-03-26 |