| NPI | 1982825451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 920) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN 920) |
| 103TS0200X Psychologist, School (Licence: TN 920) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |