| NPI | 1992859375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 277) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 784) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |