| NPI | 1932448545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2110) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 2110) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 2110) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |