| NPI | 1962682971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY21342) |
| 103T00000X Psychologist (Licence: CA PSY21342) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY21342) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY21342) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-09-05 |