| NPI | 1225448376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3093) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TN 3093) |
| 103TH0100X Psychologist Health Service (Licence: TN 3093) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |