| NPI | 1548007180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3955) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN -) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-10-14 |