| NPI | 1154601862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2990) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 28408) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-04-04 |