| NPI | 1528692530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: TN 3656) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3656) |
| 103TC0700X Psychologist Clinical (Licence: TN 3656) | |
| 103TH0100X Psychologist Health Service (Licence: TN 3656) | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2022-03-21 |