| NPI | 1750952164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN 4170) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA PSY10001734) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-12-14 |