| NPI | 1982943312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004965) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P3131) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2016-10-28 |