| NPI | 1154405041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3327) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2133) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: TN 3327) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-02-19 |