| NPI | 1588747455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 0000002312) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN 0000002312) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 0000002312) | |
| 103T00000X Psychologist (Licence: TN 0000002312) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-07-21 |