| NPI | 1598006207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P3119) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3119) |
| 103TC0700X Psychologist, Clinical (Licence: TN P3119) | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2022-03-18 |