| NPI | 1225208531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN P0000002789) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: TN P0000002789) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN P0000002789) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: TN P0000002789) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2019-12-12 |