| NPI | 1174694434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P0000002071) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P2071) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2018-07-30 |