| NPI | 1043392269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P1753) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN HSP 1753) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-06-24 |