| NPI | 1871710301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PS003186-L) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA ps003186-L) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-11-20 |