| NPI | 1811035967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P1844) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P1844) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TN P1844) | |
| 103TC1900X Psychologist, Counseling (Licence: TN P1844) | |
| 103TF0000X Psychologist, Family (Licence: TN P1844) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-04-29 |