| NPI | 1417154410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P00000901) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TN P-000000901) |
| 103TC0700X Psychologist, Clinical (Licence: TN P-000000901) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-11-23 |