| NPI | 1750392031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 001221) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 649) |
| 103T00000X Psychologist (Licence: TN P0000001170) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |