| NPI | 1831338284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2863) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2305) |
| 103TC1900X Psychologist, Counseling (Licence: TN 2863) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2018-03-17 |