| NPI | 1811923246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 2651) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TN 2651) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TN 2651) | |
| 103T00000X Psychologist (Licence: TN 2651) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |