| NPI | 1831932821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 4078) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 631158) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-09-04 |