| NPI | 1902815681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 2966) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P2966) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-03-16 |