NPI | 1386772069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2733) |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2016-01-04 |