NPI | 1730205410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN P2309) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN P-2309) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2014-04-01 |