NPI | 1326263435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000002936) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN P0000002936) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN P0000002936) | |
103TF0000X Psychologist, Family (Licence: TN P0000002936) | |
103TH0004X Psychologist, Health (Licence: TN P0000002936) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2014-04-07 |