| NPI | 1255714143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3507) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 3507) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2022-06-28 |