| NPI | 1720087901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P2546) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2546(provisional)) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-11-30 |