| NPI | 1881567790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 4104) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40903) |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2026-04-21 |