| NPI | 1730307349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN 2584) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2011-01-17 |