| NPI | 1669592663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical (Licence: TN P0000000730) | |
| 103TH0100X Psychologist, Health Service | |
| 103T00000X Psychologist (Licence: TN P0000000730) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |