| NPI | 1922004787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 06-15 P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2001024792) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2009-12-04 |