| NPI | 1730205410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN P2309) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN P-2309) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-04-01 |