| NPI | 1215024336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 2463) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P002463) |
| 103TC0700X Psychologist, Clinical (Licence: TN 2463) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-09-01 |