| NPI | 1194395442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3966) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 11987818-2501) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-01-31 |