| NPI | 1831218858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 0638P) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AR 06-38P) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-12-10 |