| NPI | 1194952366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN p0001848) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P0000001848) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-01-31 |