| NPI | 1629872122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 4124) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-07-11 |