| NPI | 1407696149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3993) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3993) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-26 |