| NPI | 1851851711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3572) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 3572) |
| 103T00000X Psychologist (Licence: TN 3572) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-09-07 |