NPI | 1083781728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN PE0000000293) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC0000000083) |
106H00000X Marriage & Family Therapist (Licence: TN LMT0000000026) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-09-11 |