| NPI | 1184136756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3294) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3819) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-09-30 |