| NPI | 1275962045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MS 58-1020) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P0000003313) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2024-05-21 |