| NPI | 1184232605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002156) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-03-20 |