| NPI | 1245356799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: TN 11708) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN PE11708) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-10-09 |