| NPI | 1881008886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1380) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1380) | 
| Enumeration Date | 2014-06-17 | 
| Last Update Date | 2016-11-16 |