| NPI | 1841832318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 621125) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3661) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-07-21 |