| NPI | 1982643649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2912) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN TN2912) |
| 103TC0700X Psychologist, Clinical (Licence: TX 33126) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 015384-01) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-02-20 |