| NPI | 1578608311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 1986) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 1986) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-02-26 |