| NPI | 1700286010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 4739) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN 3190) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2017-12-14 |