| NPI | 1619923166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN P1962) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MS 34-557) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-04-22 |