| NPI | 1356327365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10397) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P-2582) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-11-09 |