| NPI | 1700611951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 4115) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 4115) |
| 103TC0700X Psychologist, Clinical (Licence: CO 00015498) | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-11-24 |