| NPI | 1396745329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000001774) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TN P0000001774) |
| 103TC1900X Psychologist, Counseling (Licence: TN P0000001774) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TN P0000001774) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2020-03-30 |