| NPI | 1629529425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 4186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7238) |
| 103TH0100X Psychologist, Health Service (Licence: NC 6675) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2026-01-30 |