| NPI | 1043369408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000003237) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 0000000683) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-09-20 |