| NPI | 1053053140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3807) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN 3807) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2023-01-11 |