| NPI | 1497862411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN p0000001933) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TN P0000001933) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |