| NPI | 1538697735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TN 3505) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TN 3505) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-08-17 |