| NPI | 1992706022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P2410) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1062) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-01-09 |