| NPI | 1194875104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000001024) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P1024) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-03-11 |