| NPI | 1871614420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1174) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4066) |
| 103T00000X Psychologist (Licence: TN 3389) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-12-07 |