| NPI | 1871656397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003019) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003019) |
| 103TH0004X Psychologist, Health (Licence: CT 003019) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-09-30 |