| NPI | 1699749952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN 2671) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TS0200X Psychologist, School (Licence: TN 2671) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-03-22 |