| NPI | 1902892052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 96-04EI) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 002181) |
| 101YP2500X Counselor, Professional (Licence: AR P0704018) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-05-14 |