| NPI | 1952786253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3489) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-09-29 |