| NPI | 1386988079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3143) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical (Licence: TN 3143) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2024-04-27 |