| NPI | 1467670950 |
|---|---|
| Former Name | TERI M BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VT 796) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 796) |
| 103TS0200X Psychologist, School (Licence: VT 796) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-02-22 |