| NPI | 1669633384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2960) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TN 2960) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN 2960) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-04-01 |