| NPI | 1710505268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 641185) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist (Licence: TN 4107) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-11-21 |