| NPI | 1801453402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist (Licence: TN 3935) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-07-02 |