| NPI | 1619328010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3747) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN L000000014889) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-03-22 |