| 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 |