| NPI | 1811518905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 3808) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2021-09-10 |