| NPI | 1508166869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2690) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: TN 2690) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |