| NPI | 1366624868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2127) |
| 103T00000X Psychologist (Licence: AL 733) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2015-03-13 |