| NPI | 1437743275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 4204) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 4204) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2026-01-13 |